# ALABAMA PROVIDENCE HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALABAMA PROVIDENCE HEALTHCARE SERVICES
- **Other names:** Ascension Providence Diabetes Management Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609446087
- **Legal business name:** ALABAMA PROVIDENCE HEALTHCARE SERVICES
- **Authorized official:** MIRANDA HEMM (ENROLLMENT MANAGER)
- **Authorized official phone:** (904) 450-6004

## Contact information

- **Practice address:** 6701 AIRPORT BLVD STE D436, MOBILE, AL 36608-6705
- **Practice address phone:** (251) 266-1987
- **Practice address fax:** (251) 266-2070
- **Mailing address:** 6701 AIRPORT BLVD STE D436, MOBILE, AL 36608-6705
- **Mailing address phone:** (251) 266-1987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 06/29/2021